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Applicant Information:
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| Invalid value |
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Last Name
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| Invalid value |
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First Name
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Middle Name
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| Invalid value |
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Email Address
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| Invalid value |
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Phone Number
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Street Address
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City
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State
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Zip
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TX #
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Variance Specific Information:
Effective Date(s): |
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Duration of Fire/Burn: |
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Location of Fire/Burn: |
Burning Times are between 6:00 A.M. and 6:00 P.M. only.
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Size of Fire/Burn (Sq. Ft.): |
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Material to Burn: |
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Nearest Structure to the Fire/Burn (in Feet) |
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Reason for fire: |
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